Individual
MACAYLE STUCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 W 1400 N STE A, LOGAN, UT 84341-6816
(435) 752-5302
Mailing address
685 N 570 E, SMITHFIELD, UT 84335-6733
(435) 760-4922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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